State prevailing rates

Please note that the CHAMPUS Maximum Allowable Charges (CMAC) take precedence over the state prevailing rates listed below.

Latest update: 03-13-2019
CPT code State Provider class Modifier Current pricing Effective date
0359T ME 01 00 $500.00 2/16/2016
0359T ME 04 00 $500.00 2/16/2016
0360T ME 01 00 $62.50 2/16/2016
0360T ME 04 00 $62.50 2/16/2016
0361T ME 01 00 $62.50 2/16/2016
0361T ME 04 00 $62.50 2/16/2016
0364T ME 01 00 $62.50 1/1/2018
0364T ME 04 00 $62.50 1/1/2018
0364T ME 01 00 $62.50 7/13/2018
0364T ME 04 00 $62.50 7/13/2018
0365T ME 01 00 $62.50 2/16/2016
0365T ME 04 00 $62.50 2/16/2016
0368T ME 01 00 $62.50 2/16/2016
0368T ME 04 00 $62.50 2/16/2016
0369T ME 01 00 $62.50 2/16/2016
0369T ME 04 00 $62.50 2/16/2016
0370T ME 01 00 $125.00 2/16/2016
0370T ME 04 00 $125.00 2/16/2016
15824 ME 01 00 $343.40 1/1/2018
15824 ME 04 00 $343.40 1/1/2018
15824 ME 01 00 $343.40 7/13/2018
15824 ME 04 00 $343.40 7/13/2018
15825 ME 01 00 $343.40 1/1/2018
15825 ME 04 00 $343.40 1/1/2018
15825 ME 01 00 $343.40 7/13/2018
15825 ME 04 00 $343.40 7/13/2018
15826 ME 01 00 $343.40 1/1/2018
15826 ME 04 00 $343.40 1/1/2018
15826 ME 01 00 $343.40 7/13/2018
15826 ME 04 00 $343.40 7/13/2018
15828 ME 01 00 $343.40 1/1/2018
15828 ME 04 00 $343.40 1/1/2018
15828 ME 01 00 $343.40 7/13/2018
15828 ME 04 00 $343.40 7/13/2018
15829 ME 01 00 $343.40 1/1/2018
15829 ME 04 00 $343.40 1/1/2018
15829 ME 01 00 $343.40 7/13/2018
15829 ME 04 00 $343.40 7/13/2018
15876 ME 01 00 $343.40 1/1/2018
15876 ME 04 00 $343.40 1/1/2018
15876 ME 01 00 $343.40 7/13/2018
15876 ME 04 00 $343.40 7/13/2018
15878 ME 01 00 $343.40 1/1/2018
15878 ME 04 00 $343.40 1/1/2018
15878 ME 01 00 $343.40 7/13/2018
15878 ME 04 00 $343.40 7/13/2018
15879 ME 01 00 $343.40 1/1/2018
15879 ME 04 00 $343.40 1/1/2018
15879 ME 01 00 $343.40 7/13/2018
15879 ME 04 00 $343.40 7/13/2018
17380 ME 01 00 $343.40 2/16/2016
17380 ME 04 00 $343.40 2/16/2016
21088 ME 01 00 $343.40 2/16/2016
21088 ME 04 00 $343.40 2/16/2016
21089 ME 01 00 $343.40 1/1/2018
21089 ME 04 00 $343.40 1/1/2018
21089 ME 01 00 $343.40 7/13/2018
21089 ME 04 00 $343.40 7/13/2018
22841 ME 01 00 $343.40 1/1/2018
22841 ME 04 00 $343.40 1/1/2018
22841 ME 01 00 $343.40 7/13/2018
22841 ME 04 00 $343.40 7/13/2018
24940 ME 01 00 $343.40 1/1/2018
24940 ME 04 00 $343.40 1/1/2018
24940 ME 01 00 $343.40 7/13/2018
24940 ME 04 00 $343.40 7/13/2018
26989 ME 01 00 $343.40 1/1/2018
26989 ME 04 00 $343.40 1/1/2018
26989 ME 01 00 $343.40 7/13/2018
26989 ME 04 00 $343.40 7/13/2018
32850 ME 01 00 $343.40 1/1/2018
32850 ME 04 00 $343.40 1/1/2018
32850 ME 01 00 $343.40 7/13/2018
32850 ME 04 00 $343.40 7/13/2018
33930 ME 01 00 $343.40 1/1/2018
33930 ME 04 00 $343.40 1/1/2018
33930 ME 01 00 $343.40 7/13/2018
33930 ME 04 00 $343.40 7/13/2018
33940 ME 01 00 $343.40 1/1/2018
33940 ME 04 00 $343.40 1/1/2018
33940 ME 01 00 $343.40 7/13/2018
33940 ME 04 00 $343.40 7/13/2018
41821 ME 01 00 $343.40 1/1/2018
41821 ME 04 00 $343.40 1/1/2018
41821 ME 01 00 $343.40 7/13/2018
41821 ME 04 00 $343.40 7/13/2018
41870 ME 01 00 $343.40 1/1/2018
41870 ME 04 00 $343.40 1/1/2018
41870 ME 01 00 $343.40 7/13/2018
41870 ME 04 00 $343.40 7/13/2018
43496 ME 01 00 $343.40 1/1/2018
43496 ME 04 00 $343.40 1/1/2018
43496 ME 01 00 $343.40 7/13/2018
43496 ME 04 00 $343.40 7/13/2018
47133 ME 01 00 $343.40 1/1/2018
47133 ME 04 00 $343.40 1/1/2018
47133 ME 01 00 $343.40 7/13/2018
47133 ME 04 00 $343.40 7/13/2018
48160 ME 01 00 $343.40 1/1/2018
48160 ME 04 00 $343.40 1/1/2018
48160 ME 01 00 $343.40 7/13/2018
48160 ME 04 00 $343.40 7/13/2018
48550 ME 01 00 $343.40 1/1/2018
48550 ME 04 00 $343.40 1/1/2018
48550 ME 01 00 $343.40 7/13/2018
48550 ME 04 00 $343.40 7/13/2018
49906 ME 01 00 $343.40 1/1/2018
49906 ME 04 00 $343.40 1/1/2018
49906 ME 01 00 $343.40 7/13/2018
49906 ME 04 00 $343.40 7/13/2018
50300 ME 01 00 $343.40 1/1/2018
50300 ME 04 00 $343.40 1/1/2018
50300 ME 01 00 $343.40 7/13/2018
50300 ME 04 00 $343.40 7/13/2018
55970 ME 01 00 $343.40 1/1/2018
55970 ME 04 00 $343.40 1/1/2018
55970 ME 01 00 $343.40 7/13/2018
55970 ME 04 00 $343.40 7/13/2018
55980 ME 01 00 $343.40 1/1/2018
55980 ME 04 00 $343.40 1/1/2018
55980 ME 01 00 $343.40 7/13/2018
55980 ME 04 00 $343.40 7/13/2018
58974 ME 01 00 $343.40 2/16/2016
58974 ME 04 00 $343.40 2/16/2016
65767 ME 01 00 $343.40 1/1/2018
65767 ME 04 00 $343.40 1/1/2018
65767 ME 01 00 $343.40 7/13/2018
65767 ME 04 00 $343.40 7/13/2018
65771 ME 01 00 $343.40 2/16/2016
65771 ME 04 00 $343.40 2/16/2016
69090 ME 01 00 $343.40 2/16/2016
69090 ME 04 00 $343.40 2/16/2016
69710 ME 01 00 $343.40 2/16/2016
69710 ME 04 00 $343.40 2/16/2016
69949 ME 01 00 $343.40 1/1/2018
69949 ME 04 00 $343.40 1/1/2018
69949 ME 01 00 $343.40 7/13/2018
69949 ME 04 00 $343.40 7/13/2018
69979 ME 01 00 $343.40 1/1/2018
69979 ME 04 00 $343.40 1/1/2018
69979 ME 01 00 $343.40 7/13/2018
69979 ME 04 00 $343.40 7/13/2018
76001 ME 01 00 $811.00 4/18/2017
76001 ME 01 00 $811.00 1/1/2018
76001 ME 04 00 $524.40 1/1/2018
76001 ME 01 00 $811.00 7/13/2018
76001 ME 04 00 $524.40 7/13/2018
76001 ME 01 TC $492.02 1/1/2018
76001 ME 04 TC $492.02 1/1/2018
76001 ME 01 TC $492.02 7/13/2018
76001 ME 04 TC $492.02 7/13/2018
78609 ME 01 00 $343.40 1/1/2018
78609 ME 04 00 $343.40 1/1/2018
78609 ME 01 00 $343.40 7/13/2018
78609 ME 04 00 $343.40 7/13/2018
79300 ME 01 00 $343.40 1/1/2018
79300 ME 04 00 $343.40 1/1/2018
79300 ME 01 00 $343.40 7/13/2018
79300 ME 04 00 $343.40 7/13/2018
86860 ME 01 00 $54.00 1/1/2018
86860 ME 04 00 $54.00 1/1/2018
86860 ME 01 00 $54.00 7/13/2018
86860 ME 04 00 $54.00 7/13/2018
86891 ME 01 00 $90.00 1/1/2018
86891 ME 04 00 $90.00 1/1/2018
86891 ME 01 00 $90.00 7/13/2018
86891 ME 04 00 $90.00 7/13/2018
86930 ME 01 00 $9.00 1/1/2018
86930 ME 04 00 $9.00 1/1/2018
86930 ME 01 00 $9.00 7/13/2018
86930 ME 04 00 $9.00 7/13/2018
86931 ME 01 00 $9.00 1/1/2018
86931 ME 04 00 $9.00 1/1/2018
86931 ME 01 00 $9.00 7/13/2018
86931 ME 04 00 $9.00 7/13/2018
86932 ME 01 00 $9.00 1/1/2018
86932 ME 04 00 $9.00 1/1/2018
86932 ME 01 00 $9.00 7/13/2018
86932 ME 04 00 $9.00 7/13/2018
86950 ME 01 00 $45.00 1/1/2018
86950 ME 04 00 $45.00 1/1/2018
86950 ME 01 00 $45.00 7/13/2018
86950 ME 04 00 $45.00 7/13/2018
86970 ME 01 00 $144.00 1/1/2018
86970 ME 04 00 $144.00 1/1/2018
86970 ME 01 00 $144.00 7/13/2018
86970 ME 04 00 $144.00 7/13/2018
86971 ME 01 00 $144.00 1/1/2018
86971 ME 04 00 $144.00 1/1/2018
86971 ME 01 00 $144.00 7/13/2018
86971 ME 04 00 $144.00 7/13/2018
86972 ME 01 00 $144.00 1/1/2018
86972 ME 04 00 $144.00 1/1/2018
86972 ME 01 00 $144.00 7/13/2018
86972 ME 04 00 $144.00 7/13/2018
86975 ME 01 00 $144.00 1/1/2018
86975 ME 04 00 $144.00 1/1/2018
86975 ME 01 00 $144.00 7/13/2018
86975 ME 04 00 $144.00 7/13/2018
86976 ME 01 00 $144.00 1/1/2018
86976 ME 04 00 $144.00 1/1/2018
86976 ME 01 00 $144.00 7/13/2018
86976 ME 04 00 $144.00 7/13/2018
86977 ME 01 00 $144.00 1/1/2018
86977 ME 04 00 $144.00 1/1/2018
86977 ME 01 00 $144.00 7/13/2018
86977 ME 04 00 $144.00 7/13/2018
86978 ME 01 00 $144.00 1/1/2018
86978 ME 04 00 $144.00 1/1/2018
86978 ME 01 00 $144.00 7/13/2018
86978 ME 04 00 $144.00 7/13/2018
90736 ME 01 00 $235.51 7/19/2017
90736 ME 04 00 $235.51 7/19/2017
90736 ME 01 00 $254.35 7/20/2017
90736 ME 04 00 $254.35 7/20/2017
90736 ME 01 00 $254.35 1/1/2018
90736 ME 04 00 $254.35 1/1/2018
90736 ME 01 NU $235.51 10/19/2016
90736 ME 04 NU $235.51 10/19/2016
90993 ME 01 00 $343.40 1/1/2018
90993 ME 04 00 $343.40 1/1/2018
90993 ME 01 00 $343.40 7/13/2018
90993 ME 04 00 $343.40 7/13/2018
92993 ME 01 00 $343.40 1/1/2018
92993 ME 04 00 $343.40 1/1/2018
92993 ME 01 00 $343.40 7/13/2018
92993 ME 04 00 $343.40 7/13/2018
99000 ME 01 00 $22.00 4/18/2017
99000 ME 04 00 $21.00 4/18/2017
99000 ME 01 00 $24.00 1/1/2018
99000 ME 04 00 $24.00 1/1/2018
99000 ME 01 00 $24.00 7/13/2018
99000 ME 04 00 $24.00 7/13/2018
99001 ME 01 00 $37.95 4/18/2017
99001 ME 04 00 $37.95 4/18/2017
99001 ME 01 00 $37.95 1/1/2018
99001 ME 04 00 $37.95 1/1/2018
99001 ME 01 00 $37.95 7/13/2018
99001 ME 04 00 $37.95 7/13/2018
99071 ME 01 00 $1.80 2/16/2016
99071 ME 04 00 $1.80 2/16/2016
99075 ME 01 00 $1.80 2/16/2016
99075 ME 04 00 $1.80 2/16/2016
99455 ME 01 00 $343.40 2/16/2016
99455 ME 04 00 $343.40 2/16/2016
A0225 ME 01 00 $235.00 1/1/2018
A0225 ME 04 00 $235.00 1/1/2018
A0225 ME 01 00 $235.00 7/13/2018
A0225 ME 04 00 $235.00 7/13/2018
A0431 ME 01 00 $3,272.93 12/10/2015
A0431 ME 04 00 $3,272.93 12/10/2015
A0431 ME 01 00 $2,364.68 1/1/2018
A0431 ME 04 00 $2,364.68 1/1/2018
A0431 ME 01 00 $2,364.68 4/9/2018
A0431 ME 04 00 $2,364.68 4/9/2018
A0431 ME 01 00 $2,009.98 1/1/2019
A0431 ME 04 00 $2,009.98 1/1/2019
A0436 ME 01 00 $21.95 12/10/2015
A0436 ME 04 00 $21.95 12/10/2015
A0436 ME 01 00 $15.86 1/1/2018
A0436 ME 04 00 $15.86 1/1/2018
A0436 ME 01 00 $15.86 4/9/2018
A0436 ME 04 00 $15.86 4/9/2018
A0436 ME 01 00 $13.48 1/1/2019
A0436 ME 04 00 $13.48 1/1/2019
A4206 ME 01 00 $0.33 1/1/2018
A4206 ME 04 00 $0.33 1/1/2018
A4206 ME 01 00 $0.33 7/13/2018
A4206 ME 04 00 $0.33 7/13/2018
A4208 ME 01 00 $0.27 1/1/2018
A4208 ME 04 00 $0.27 1/1/2018
A4208 ME 01 00 $0.27 7/13/2018
A4208 ME 04 00 $0.27 7/13/2018
A4209 ME 01 00 $3.05 1/1/2018
A4209 ME 04 00 $3.05 1/1/2018
A4209 ME 01 00 $3.05 7/13/2018
A4209 ME 04 00 $3.05 7/13/2018
A4212 ME 01 00 $5.00 1/1/2018
A4212 ME 04 00 $5.00 1/1/2018
A4212 ME 01 00 $5.00 7/13/2018
A4212 ME 04 00 $5.00 7/13/2018
A4213 ME 01 00 $2.60 1/1/2018
A4213 ME 04 00 $2.60 1/1/2018
A4213 ME 01 00 $2.60 7/13/2018
A4213 ME 04 00 $2.60 7/13/2018
A4215 ME 01 00 $22.00 1/1/2018
A4215 ME 04 00 $22.00 1/1/2018
A4215 ME 01 00 $22.00 7/13/2018
A4215 ME 04 00 $22.00 7/13/2018
A4218 ME 01 00 $0.58 1/1/2018
A4218 ME 04 00 $0.58 1/1/2018
A4218 ME 01 00 $0.58 7/13/2018
A4218 ME 04 00 $0.58 7/13/2018
A4223 ME 01 00 $61.80 3/24/2017
A4223 ME 04 00 $61.80 3/24/2017
A4245 ME 01 00 $6.72 1/1/2018
A4245 ME 04 00 $6.72 1/1/2018
A4245 ME 01 00 $6.72 7/13/2018
A4245 ME 04 00 $6.72 7/13/2018
A4263 ME 01 00 $95.00 1/1/2018
A4263 ME 04 00 $95.00 1/1/2018
A4263 ME 01 00 $95.00 7/13/2018
A4263 ME 04 00 $95.00 7/13/2018
A4550 ME 01 00 $52.00 4/18/2017
A4550 ME 04 00 $52.00 4/18/2017
A4550 ME 01 00 $52.00 1/1/2018
A4550 ME 04 00 $52.00 1/1/2018
A4550 ME 01 00 $52.00 7/13/2018
A4550 ME 04 00 $52.00 7/13/2018
A4570 ME 01 00 $17.00 1/1/2018
A4570 ME 04 00 $17.00 1/1/2018
A4570 ME 01 00 $17.00 7/13/2018
A4570 ME 04 00 $17.00 7/13/2018
A4580 ME 01 00 $110.00 1/1/2018
A4580 ME 04 00 $110.00 1/1/2018
A4580 ME 01 00 $110.00 7/13/2018
A4580 ME 04 00 $110.00 7/13/2018
A4590 ME 01 00 $99.00 1/1/2018
A4590 ME 04 00 $99.00 1/1/2018
A4590 ME 01 00 $99.00 7/13/2018
A4590 ME 04 00 $99.00 7/13/2018
A4627 ME 01 00 $80.00 1/1/2018
A4627 ME 04 00 $80.00 1/1/2018
A4627 ME 01 00 $80.00 7/13/2018
A4627 ME 04 00 $80.00 7/13/2018
A4770 ME 01 00 $160.00 1/1/2018
A4770 ME 04 00 $160.00 1/1/2018
A4770 ME 01 00 $160.00 7/13/2018
A4770 ME 04 00 $160.00 7/13/2018
A4927 ME 01 00 $16.14 1/1/2018
A4927 ME 04 00 $16.14 1/1/2018
A4927 ME 01 00 $16.14 7/13/2018
A4927 ME 04 00 $16.14 7/13/2018
A6208 ME 01 00 $67.11 1/1/2018
A6208 ME 04 00 $67.11 1/1/2018
A6208 ME 01 00 $67.11 7/13/2018
A6208 ME 04 00 $67.11 7/13/2018
A6213 ME 01 00 $9.80 1/1/2018
A6213 ME 04 00 $9.80 1/1/2018
A6213 ME 01 00 $9.80 7/13/2018
A6213 ME 04 00 $9.80 7/13/2018
A6451 ME 01 00 $1.99 1/1/2018
A6451 ME 04 00 $1.99 1/1/2018
A6451 ME 01 00 $1.99 7/13/2018
A6451 ME 04 00 $1.99 7/13/2018
A6530 ME 01 00 $50.00 3/24/2017
A6530 ME 04 00 $50.00 3/24/2017
A6530 ME 01 00 $50.00 1/1/2018
A6530 ME 04 00 $50.00 1/1/2018
A6530 ME 01 NU $50.00 3/24/2017
A6530 ME 04 NU $50.00 3/24/2017
A9276 ME 01 00 $14.97 1/1/2019
A9276 ME 04 00 $14.97 1/1/2019
A9282 ME 01 00 $2,246.00 1/1/2018
A9282 ME 04 00 $2,246.00 1/1/2018
A9282 ME 01 00 $2,000.00 7/13/2018
A9282 ME 04 00 $2,000.00 7/13/2018
A9282 ME 01 00 $2,295.00 1/1/2019
A9282 ME 04 00 $2,295.00 1/1/2019
A9500 ME 01 00 $397.00 4/18/2017
A9500 ME 01 00 $397.00 1/1/2018
A9500 ME 04 00 $125.00 1/1/2018
A9500 ME 01 00 $397.00 7/13/2018
A9500 ME 04 00 $125.00 7/13/2018
A9502 ME 01 00 $423.00 1/1/2018
A9502 ME 04 00 $208.00 1/1/2018
A9502 ME 01 00 $423.00 7/13/2018
A9502 ME 04 00 $208.00 7/13/2018
A9503 ME 01 00 $223.00 4/18/2017
A9503 ME 01 00 $223.00 1/1/2018
A9503 ME 04 00 $132.00 1/1/2018
A9503 ME 01 00 $223.00 7/13/2018
A9503 ME 04 00 $132.00 7/13/2018
A9505 ME 01 00 $31.74 1/1/2018
A9505 ME 04 00 $31.74 1/1/2018
A9505 ME 01 00 $31.74 7/13/2018
A9505 ME 04 00 $31.74 7/13/2018
A9507 ME 01 00 $3,244.35 1/1/2018
A9507 ME 04 00 $3,244.35 1/1/2018
A9507 ME 01 00 $3,244.35 7/13/2018
A9507 ME 04 00 $3,244.35 7/13/2018
A9510 ME 01 00 $327.50 1/1/2018
A9510 ME 04 00 $327.50 1/1/2018
A9510 ME 01 00 $327.50 7/13/2018
A9510 ME 04 00 $327.50 7/13/2018
A9516 ME 01 00 $268.00 1/1/2018
A9516 ME 04 00 $68.45 1/1/2018
A9516 ME 01 00 $268.00 7/13/2018
A9516 ME 04 00 $68.45 7/13/2018
A9517 ME 01 00 $33.31 1/1/2018
A9517 ME 04 00 $33.31 1/1/2018
A9517 ME 01 00 $33.31 7/13/2018
A9517 ME 04 00 $33.31 7/13/2018
A9521 ME 01 00 $567.61 1/1/2018
A9521 ME 04 00 $567.61 1/1/2018
A9521 ME 01 00 $567.61 7/13/2018
A9521 ME 04 00 $567.61 7/13/2018
A9530 ME 01 00 $28.91 1/1/2018
A9530 ME 04 00 $28.91 1/1/2018
A9530 ME 01 00 $28.91 7/13/2018
A9530 ME 04 00 $28.91 7/13/2018
A9537 ME 01 00 $221.52 4/18/2017
A9537 ME 01 00 $254.65 1/1/2018
A9537 ME 04 00 $59.54 1/1/2018
A9537 ME 01 00 $254.65 7/13/2018
A9537 ME 04 00 $59.54 7/13/2018
A9538 ME 01 00 $24.70 1/1/2018
A9538 ME 04 00 $24.70 1/1/2018
A9538 ME 01 00 $24.70 7/13/2018
A9538 ME 04 00 $24.70 7/13/2018
A9539 ME 01 00 $16.25 1/1/2018
A9539 ME 04 00 $16.25 1/1/2018
A9539 ME 01 00 $16.25 7/13/2018
A9539 ME 04 00 $16.25 7/13/2018
A9541 ME 01 00 $231.50 1/1/2018
A9541 ME 04 00 $75.35 1/1/2018
A9541 ME 01 00 $231.50 7/13/2018
A9541 ME 04 00 $75.35 7/13/2018
A9542 ME 01 00 $2,769.63 1/1/2018
A9542 ME 04 00 $2,769.63 1/1/2018
A9542 ME 01 00 $2,769.63 7/13/2018
A9542 ME 04 00 $2,769.63 7/13/2018
A9551 ME 01 00 $126.63 1/1/2018
A9551 ME 04 00 $126.63 1/1/2018
A9551 ME 01 00 $126.63 7/13/2018
A9551 ME 04 00 $126.63 7/13/2018
A9552 ME 01 00 $1,436.00 4/18/2017
A9552 ME 01 00 $1,436.00 1/1/2018
A9552 ME 04 00 $900.00 1/1/2018
A9552 ME 01 00 $1,436.00 7/13/2018
A9552 ME 04 00 $900.00 7/13/2018
A9556 ME 01 00 $32.04 1/1/2018
A9556 ME 04 00 $32.04 1/1/2018
A9556 ME 01 00 $32.04 7/13/2018
A9556 ME 04 00 $32.04 7/13/2018
A9558 ME 01 00 $38.96 1/1/2018
A9558 ME 04 00 $38.96 1/1/2018
A9558 ME 01 00 $38.96 7/13/2018
A9558 ME 04 00 $38.96 7/13/2018
A9560 ME 01 00 $114.00 1/1/2018
A9560 ME 04 00 $114.00 1/1/2018
A9560 ME 01 00 $114.00 7/13/2018
A9560 ME 04 00 $114.00 7/13/2018
A9561 ME 01 00 $34.56 1/1/2018
A9561 ME 04 00 $34.56 1/1/2018
A9561 ME 01 00 $34.56 7/13/2018
A9561 ME 04 00 $34.56 7/13/2018
A9562 ME 01 00 $445.51 1/1/2018
A9562 ME 04 00 $445.51 1/1/2018
A9562 ME 01 00 $445.51 7/13/2018
A9562 ME 04 00 $445.51 7/13/2018
A9600 ME 01 00 $1,014.13 1/1/2018
A9600 ME 04 00 $1,014.13 1/1/2018
A9600 ME 01 00 $1,014.13 7/13/2018
A9600 ME 04 00 $1,014.13 7/13/2018
A9700 ME 01 00 $149.00 1/1/2018
A9700 ME 04 00 $149.00 1/1/2018
A9700 ME 01 00 $149.00 7/13/2018
A9700 ME 04 00 $149.00 7/13/2018
B4172 ME 01 00 $195.00 1/1/2018
B4172 ME 04 00 $195.00 1/1/2018
B4172 ME 01 00 $195.00 7/13/2018
B4172 ME 04 00 $195.00 7/13/2018
B5200 ME 01 00 $4.94 1/1/2018
B5200 ME 04 00 $4.94 1/1/2018
B5200 ME 01 00 $4.94 7/13/2018
B5200 ME 04 00 $4.94 7/13/2018
C1713 ME 01 00 $795.00 1/1/2018
C1713 ME 04 00 $795.00 1/1/2018
C1713 ME 01 00 $795.00 7/13/2018
C1713 ME 04 00 $795.00 7/13/2018
C1769 ME 01 00 $549.50 1/1/2018
C1769 ME 04 00 $549.50 1/1/2018
C1769 ME 01 00 $549.50 7/13/2018
C1769 ME 04 00 $549.50 7/13/2018
C1781 ME 01 00 $1,769.00 1/1/2018
C1781 ME 04 00 $1,769.00 1/1/2018
C1781 ME 01 00 $1,769.00 7/13/2018
C1781 ME 04 00 $1,769.00 7/13/2018
C1887 ME 01 00 $379.00 1/1/2018
C1887 ME 04 00 $379.00 1/1/2018
C1887 ME 01 00 $379.00 7/13/2018
C1887 ME 04 00 $379.00 7/13/2018
C8908 ME 01 00 $599.40 1/1/2018
C8908 ME 04 00 $599.40 1/1/2018
C8908 ME 01 00 $599.40 7/13/2018
C8908 ME 04 00 $599.40 7/13/2018
C9113 ME 01 00 $58.56 1/1/2018
C9113 ME 04 00 $30.00 1/1/2018
C9113 ME 01 00 $58.56 7/13/2018
C9113 ME 04 00 $30.00 7/13/2018
D7230 ME 01 00 $415.00 4/18/2017
D7230 ME 01 00 $448.00 1/1/2018
D7230 ME 04 00 $275.00 1/1/2018
D7230 ME 01 00 $448.00 7/13/2018
D7230 ME 04 00 $275.00 7/13/2018
D7240 ME 01 00 $450.00 4/18/2017
D7240 ME 04 00 $450.00 4/18/2017
D7240 ME 01 00 $450.00 1/1/2018
D7240 ME 04 00 $450.00 1/1/2018
D7240 ME 01 00 $450.00 7/13/2018
D7240 ME 04 00 $450.00 7/13/2018
E0246 ME 01 00 $63.00 2/16/2016
E0246 ME 04 00 $63.00 2/16/2016
E0246 ME 01 RR $5.25 2/16/2016
E0246 ME 04 RR $5.25 2/16/2016
E0270 ME 01 00 $6,500.00 1/1/2018
E0270 ME 04 00 $6,500.00 1/1/2018
E0270 ME 01 00 $6,500.00 7/13/2018
E0270 ME 04 00 $6,500.00 7/13/2018
E0270 ME 01 RR $541.67 1/1/2018
E0270 ME 04 RR $541.67 1/1/2018
E0270 ME 01 RR $541.67 7/13/2018
E0270 ME 04 RR $541.67 7/13/2018
E0352 ME 01 00 $45.53 1/1/2018
E0352 ME 04 00 $45.53 1/1/2018
E0352 ME 01 00 $45.53 7/13/2018
E0352 ME 04 00 $45.53 7/13/2018
E0430 ME 01 00 $315.00 1/1/2018
E0430 ME 04 00 $315.00 1/1/2018
E0430 ME 01 00 $315.00 7/13/2018
E0430 ME 04 00 $315.00 7/13/2018
E0430 ME 01 RR $26.25 1/1/2018
E0430 ME 04 RR $26.25 1/1/2018
E0430 ME 01 RR $26.25 7/13/2018
E0430 ME 04 RR $26.25 7/13/2018
E0435 ME 01 00 $3,700.00 1/1/2018
E0435 ME 04 00 $3,700.00 1/1/2018
E0435 ME 01 00 $3,700.00 7/13/2018
E0435 ME 04 00 $3,700.00 7/13/2018
E0435 ME 01 NU $3,700.00 1/1/2018
E0435 ME 04 NU $3,700.00 1/1/2018
E0435 ME 01 NU $3,700.00 7/13/2018
E0435 ME 04 NU $3,700.00 7/13/2018
E0440 ME 01 00 $3,706.50 1/1/2018
E0440 ME 04 00 $3,706.50 1/1/2018
E0440 ME 01 00 $3,706.50 7/13/2018
E0440 ME 04 00 $3,706.50 7/13/2018
E0440 ME 01 NU $3,706.50 1/1/2018
E0440 ME 04 NU $3,706.50 1/1/2018
E0440 ME 01 NU $3,706.50 7/13/2018
E0440 ME 04 NU $3,706.50 7/13/2018
E0445 ME 01 RR $1,282.31 4/18/2017
E0445 ME 04 RR $1,282.31 4/18/2017
E0445 ME 01 RR $1,282.31 1/1/2018
E0445 ME 04 RR $1,282.31 1/1/2018
E0445 ME 01 RR $1,282.31 7/13/2018
E0445 ME 04 RR $1,282.31 7/13/2018
E0455 ME 01 00 $2,750.00 1/1/2018
E0455 ME 04 00 $2,750.00 1/1/2018
E0455 ME 01 00 $2,750.00 7/13/2018
E0455 ME 04 00 $2,750.00 7/13/2018
E0455 ME 01 RR $229.17 1/1/2018
E0455 ME 04 RR $229.17 1/1/2018
E0455 ME 01 RR $229.17 7/13/2018
E0455 ME 04 RR $229.17 7/13/2018
E0700 ME 01 00 $32.00 1/1/2018
E0700 ME 04 00 $32.00 1/1/2018
E0700 ME 01 00 $32.00 7/13/2018
E0700 ME 04 00 $32.00 7/13/2018
E0700 ME 01 RR $2.67 1/1/2018
E0700 ME 04 RR $2.67 1/1/2018
E0700 ME 01 RR $2.67 7/13/2018
E0700 ME 04 RR $2.67 7/13/2018
E0710 ME 01 00 $12.00 1/1/2018
E0710 ME 04 00 $12.00 1/1/2018
E0710 ME 01 00 $12.00 7/13/2018
E0710 ME 04 00 $12.00 7/13/2018
E0710 ME 01 RR $1.00 1/1/2018
E0710 ME 04 RR $1.00 1/1/2018
E0710 ME 01 RR $1.00 7/13/2018
E0710 ME 04 RR $1.00 7/13/2018
E0970 ME 01 00 $41.10 1/1/2018
E0970 ME 04 00 $41.10 1/1/2018
E0970 ME 01 00 $41.10 7/13/2018
E0970 ME 04 00 $41.10 7/13/2018
E0970 ME 01 RR $3.43 1/1/2018
E0970 ME 04 RR $3.43 1/1/2018
E0970 ME 01 RR $3.43 7/13/2018
E0970 ME 04 RR $3.43 7/13/2018
E1085 ME 01 00 $750.00 1/1/2018
E1085 ME 04 00 $750.00 1/1/2018
E1085 ME 01 00 $750.00 7/13/2018
E1085 ME 04 00 $750.00 7/13/2018
E1085 ME 01 NU $750.00 1/1/2018
E1085 ME 04 NU $750.00 1/1/2018
E1085 ME 01 NU $750.00 7/13/2018
E1085 ME 04 NU $750.00 7/13/2018
E1085 ME 01 RR $62.50 1/1/2018
E1085 ME 04 RR $62.50 1/1/2018
E1085 ME 01 RR $62.50 7/13/2018
E1085 ME 04 RR $62.50 7/13/2018
E1086 ME 01 00 $838.00 1/1/2018
E1086 ME 04 00 $838.00 1/1/2018
E1086 ME 01 00 $838.00 7/13/2018
E1086 ME 04 00 $838.00 7/13/2018
E1086 ME 01 NU $838.00 1/1/2018
E1086 ME 04 NU $838.00 1/1/2018
E1086 ME 01 NU $838.00 7/13/2018
E1086 ME 04 NU $838.00 7/13/2018
E1086 ME 01 RR $69.83 1/1/2018
E1086 ME 04 RR $69.83 1/1/2018
E1086 ME 01 RR $69.83 7/13/2018
E1086 ME 04 RR $69.83 7/13/2018
E1089 ME 01 00 $1,200.00 1/1/2018
E1089 ME 04 00 $1,200.00 1/1/2018
E1089 ME 01 00 $1,200.00 7/13/2018
E1089 ME 04 00 $1,200.00 7/13/2018
E1089 ME 01 RR $100.00 1/1/2018
E1089 ME 04 RR $100.00 1/1/2018
E1089 ME 01 RR $100.00 7/13/2018
E1089 ME 04 RR $100.00 7/13/2018
E1090 ME 01 00 $880.00 1/1/2018
E1090 ME 04 00 $880.00 1/1/2018
E1090 ME 01 00 $880.00 7/13/2018
E1090 ME 04 00 $880.00 7/13/2018
E1090 ME 01 NU $880.00 1/1/2018
E1090 ME 04 NU $880.00 1/1/2018
E1090 ME 01 NU $880.00 7/13/2018
E1090 ME 04 NU $880.00 7/13/2018
E1090 ME 01 RR $73.33 1/1/2018
E1090 ME 04 RR $73.33 1/1/2018
E1090 ME 01 RR $73.33 7/13/2018
E1090 ME 04 RR $73.33 7/13/2018
E1130 ME 01 00 $475.00 1/1/2018
E1130 ME 04 00 $475.00 1/1/2018
E1130 ME 01 00 $475.00 7/13/2018
E1130 ME 04 00 $475.00 7/13/2018
E1130 ME 01 NU $475.00 1/1/2018
E1130 ME 04 NU $475.00 1/1/2018
E1130 ME 01 NU $475.00 7/13/2018
E1130 ME 04 NU $475.00 7/13/2018
E1130 ME 01 RR $39.58 1/1/2018
E1130 ME 04 RR $39.58 1/1/2018
E1130 ME 01 RR $39.58 7/13/2018
E1130 ME 04 RR $39.58 7/13/2018
E1140 ME 01 00 $784.00 1/1/2018
E1140 ME 04 00 $784.00 1/1/2018
E1140 ME 01 00 $784.00 7/13/2018
E1140 ME 04 00 $784.00 7/13/2018
E1140 ME 01 NU $784.00 1/1/2018
E1140 ME 04 NU $784.00 1/1/2018
E1140 ME 01 NU $784.00 7/13/2018
E1140 ME 04 NU $784.00 7/13/2018
E1140 ME 01 RR $65.33 1/1/2018
E1140 ME 04 RR $65.33 1/1/2018
E1140 ME 01 RR $65.33 7/13/2018
E1140 ME 04 RR $65.33 7/13/2018
E1250 ME 01 00 $860.30 1/1/2018
E1250 ME 04 00 $860.30 1/1/2018
E1250 ME 01 00 $860.30 7/13/2018
E1250 ME 04 00 $860.30 7/13/2018
E1250 ME 01 NU $860.30 1/1/2018
E1250 ME 04 NU $860.30 1/1/2018
E1250 ME 01 NU $860.30 7/13/2018
E1250 ME 04 NU $860.30 7/13/2018
E1250 ME 01 RR $71.69 1/1/2018
E1250 ME 04 RR $71.69 1/1/2018
E1250 ME 01 RR $71.69 7/13/2018
E1250 ME 04 RR $71.69 7/13/2018
E1260 ME 01 00 $887.00 1/1/2018
E1260 ME 04 00 $887.00 1/1/2018
E1260 ME 01 00 $887.00 7/13/2018
E1260 ME 04 00 $887.00 7/13/2018
E1260 ME 01 NU $887.00 1/1/2018
E1260 ME 04 NU $887.00 1/1/2018
E1260 ME 01 NU $887.00 7/13/2018
E1260 ME 04 NU $887.00 7/13/2018
E1260 ME 01 RR $73.92 1/1/2018
E1260 ME 04 RR $73.92 1/1/2018
E1260 ME 01 RR $73.92 7/13/2018
E1260 ME 04 RR $73.92 7/13/2018
E1285 ME 01 00 $1,500.00 1/1/2018
E1285 ME 04 00 $1,500.00 1/1/2018
E1285 ME 01 00 $1,500.00 7/13/2018
E1285 ME 04 00 $1,500.00 7/13/2018
E1285 ME 01 NU $1,500.00 1/1/2018
E1285 ME 04 NU $1,500.00 1/1/2018
E1285 ME 01 NU $1,500.00 7/13/2018
E1285 ME 04 NU $1,500.00 7/13/2018
E1285 ME 01 RR $125.00 1/1/2018
E1285 ME 04 RR $125.00 1/1/2018
E1285 ME 01 RR $125.00 7/13/2018
E1285 ME 04 RR $125.00 7/13/2018
E1290 ME 01 00 $1,500.00 1/1/2018
E1290 ME 04 00 $1,500.00 1/1/2018
E1290 ME 01 00 $1,500.00 7/13/2018
E1290 ME 04 00 $1,500.00 7/13/2018
E1290 ME 01 NU $1,500.00 1/1/2018
E1290 ME 04 NU $1,500.00 1/1/2018
E1290 ME 01 NU $1,500.00 7/13/2018
E1290 ME 04 NU $1,500.00 7/13/2018
E1353 ME 01 RR $54.17 1/1/2018
E1353 ME 04 RR $54.17 1/1/2018
E1353 ME 01 RR $54.17 7/13/2018
E1353 ME 04 RR $54.17 7/13/2018
E1355 ME 01 RR $3.67 1/1/2018
E1355 ME 04 RR $3.67 1/1/2018
E1355 ME 01 RR $3.67 7/13/2018
E1355 ME 04 RR $3.67 7/13/2018
G8539 ME 01 00 $31.25 1/1/2018
G8539 ME 04 00 $31.25 1/1/2018
G8539 ME 01 00 $31.25 7/13/2018
G8539 ME 04 00 $31.25 7/13/2018
G8542 ME 01 00 $31.25 1/1/2018
G8542 ME 04 00 $31.25 1/1/2018
G8542 ME 01 00 $31.25 7/13/2018
G8542 ME 04 00 $31.25 7/13/2018
H0015 ME 01 00 $262.00 2/24/2016
H0015 ME 04 00 $262.00 2/24/2016
H0015 ME 01 00 $276.00 9/18/2017
H0015 ME 04 00 $276.00 9/18/2017
H0015 ME 01 00 $276.00 1/1/2018
H0015 ME 04 00 $276.00 1/1/2018
H0015 ME 01 00 $284.00 10/1/2018
H0015 ME 04 00 $284.00 10/1/2018
H0035 ME 01 00 $262.00 9/22/2015
H0035 ME 04 00 $262.00 9/22/2015
H0035 ME 01 00 $276.00 9/18/2017
H0035 ME 04 00 $276.00 9/18/2017
H0035 ME 01 00 $276.00 1/1/2018
H0035 ME 04 00 $276.00 1/1/2018
H0035 ME 01 00 $284.00 10/1/2018
H0035 ME 04 00 $284.00 10/1/2018
H0037 ME 01 00 $349.00 9/22/2015
H0037 ME 04 00 $349.00 9/22/2015
H0037 ME 01 00 $368.00 9/18/2017
H0037 ME 04 00 $368.00 9/18/2017
H0037 ME 01 00 $368.00 1/1/2018
H0037 ME 04 00 $368.00 1/1/2018
H0037 ME 01 00 $379.00 10/1/2018
H0037 ME 04 00 $379.00 10/1/2018
H2019 ME 01 00 $18.75 1/1/2018
H2019 ME 04 00 $12.50 1/1/2018
H2019 ME 01 00 $18.75 7/13/2018
H2019 ME 04 00 $12.50 7/13/2018
K0739 ME 01 00 $24.83 12/1/2015
K0739 ME 04 00 $24.83 12/1/2015
K0739 ME 01 00 $25.48 1/1/2018
K0739 ME 04 00 $25.48 1/1/2018
K0739 ME 01 00 $25.48 1/24/2018
K0739 ME 04 00 $25.48 1/24/2018
K0739 ME 01 00 $26.22 1/1/2019
K0739 ME 04 00 $26.22 1/1/2019
L3260 ME 01 00 $40.00 4/18/2017
L3260 ME 04 00 $40.00 4/18/2017
L3260 ME 01 00 $40.00 1/1/2018
L3260 ME 04 00 $40.00 1/1/2018
L3260 ME 01 00 $40.00 7/13/2018
L3260 ME 04 00 $40.00 7/13/2018
L3265 ME 01 00 $20.00 2/16/2016
L3265 ME 04 00 $20.00 2/16/2016
L4205 ME 01 00 $22.13 12/1/2015
L4205 ME 04 00 $22.13 12/1/2015
L4205 ME 01 00 $22.71 1/1/2018
L4205 ME 04 00 $22.71 1/1/2018
L4205 ME 01 00 $22.71 1/24/2018
L4205 ME 04 00 $22.71 1/24/2018
L4205 ME 01 00 $23.37 1/1/2019
L4205 ME 04 00 $23.37 1/1/2019
L7520 ME 01 00 $30.08 12/1/2015
L7520 ME 04 00 $30.08 12/1/2015
L7520 ME 01 00 $30.87 1/1/2018
L7520 ME 04 00 $30.87 1/1/2018
L7520 ME 01 00 $30.87 1/24/2018
L7520 ME 04 00 $30.87 1/24/2018
L7520 ME 01 00 $31.77 1/1/2019
L7520 ME 04 00 $31.77 1/1/2019
Q0081 ME 01 00 $232.00 1/1/2018
Q0081 ME 04 00 $232.00 1/1/2018
Q0081 ME 01 00 $232.00 7/13/2018
Q0081 ME 04 00 $232.00 7/13/2018
R0070 ME 01 00 $140.00 1/1/2018
R0070 ME 04 00 $140.00 1/1/2018
R0070 ME 01 00 $140.00 7/13/2018
R0070 ME 04 00 $140.00 7/13/2018
S5108 ME 01 00 $31.25 1/1/2018
S5108 ME 04 00 $31.25 1/1/2018
S5108 ME 01 00 $31.25 7/13/2018
S5108 ME 04 00 $31.25 7/13/2018
S5110 ME 01 00 $31.25 1/1/2018
S5110 ME 04 00 $31.25 1/1/2018
S5110 ME 01 00 $31.25 7/13/2018
S5110 ME 04 00 $31.25 7/13/2018
S5115 ME 01 00 $31.25 1/1/2018
S5115 ME 04 00 $31.25 1/1/2018
S5115 ME 01 00 $31.25 7/13/2018
S5115 ME 04 00 $31.25 7/13/2018
S9430 ME 01 00 $500.00 1/1/2018
S9430 ME 04 00 $100.00 1/1/2018
S9430 ME 01 00 $500.00 7/13/2018
S9430 ME 04 00 $100.00 7/13/2018
S9480 ME 01 00 $262.00 2/24/2016
S9480 ME 04 00 $262.00 2/24/2016
S9480 ME 01 00 $276.00 9/18/2017
S9480 ME 04 00 $276.00 9/18/2017
S9480 ME 01 00 $276.00 1/1/2018
S9480 ME 04 00 $276.00 1/1/2018
S9480 ME 01 00 $284.00 10/1/2018
S9480 ME 04 00 $284.00 10/1/2018
V2781 ME 01 00 $225.00 1/1/2018
V2781 ME 04 00 $225.00 1/1/2018
V2781 ME 01 00 $225.00 7/13/2018
V2781 ME 04 00 $225.00 7/13/2018
V5264 ME 01 00 $14.85 1/1/2018
V5264 ME 04 00 $14.85 1/1/2018
V5264 ME 01 00 $14.85 7/13/2018
V5264 ME 04 00 $14.85 7/13/2018